(1)

Registration No. / QUAID-I-AZAM UNIVERSITY

Tracking ID. No.
ADMISSION DATA SUMMARY SHEET
Photo
(M.Phil/MS Programme Spring-2018)
Discipline / Subject

NOTE: ALL THE COLUMNS GIVEN BELOW ARE TO BE FILLED IN, (INCOMPLETE FORM WILL NOT BE ENTERTAINED).

PLEASE ENCIRCLE THE PROVINCE CODE

Nationality: AJK AZAD JAMMU & KASHMIR
BLCH BALOCHISTAN
District: FATA FED. ADMINS. TRIBAL AREA
KPK KHYBER PAKHTUNKHWA
Tehsil: PNJB PUNJAB
SNDH (R) SINDH (RURAL)
City /Town: SNDH (U) SINDH (URBAN)

APPLICANT’S NAME (IN BLOCK LETTERS)

FATHER’S NAME (IN BLOCK LETTERS)

Blood COMPUTRIZED NATIONAL IDENTITY CARD NUMBER. Please

Date of Birth Sex mention Passport No. in case of Foreign National
Group
M F - -

COMPLETE POSTAL ADDRESS WITH TEHSIL & DISTRICT (IN BLOCK LETTERS)

Email: __________________________________________ Cell # -

Academic Record:
Year of Total Marks Grade / Div / Board /
Degree /Certificate % Major Subjects
Passing Marks Obtained CGPA University
Matriculation OR Equivalent Degree
Certificate for Minimum 10 Years of
Education
Intermediate OR Equivalent Degree/
Certificate for Minimum 12 Years of
Education
Bachelor OR Equivalent Degree for
Minimum 14 Years of Education
Minimum 16 Years of Education
- Bachelors (4 years) Degree
- Masters (2 years) Degree
- Other 4-5 years Degree

• Academic Distinctions (if any): ………………………………………………………

• Publications:……………………………………………………………………………
• Are you currently employed? If yes, indicate the organization name & address:…………………………………………
• Have you ever been a student of Quaid-i-Azam University?______. If yes give details; Programme______, Year______.
Specify the reasons for leaving (Seized/Cancelled/Others____________________).
• Are you presently enrolled in a college/institution?______. If yes, then mention Programme/Discipline__________

___________________
Signature of Candidate
 -2-
DECLARATION/UNDERTAKING BY THE CANDIDATE

I solemnly affirm and declare: -

(a) That the information given in this Admission form is correct to the best of my knowledge, belief and if anything is found
incorrect/misleading or concealment of facts, Quaid-i-Azam University (QAU), shall have the right to refuse/cancel my admission and
expel me from the University OR at any stage during the course of my studies.
(b) That I promise to: -
(i) Abide by the Statutes, Rules and Regulations etc. framed by the QAU and any other instructions issued from time to time.
(ii) Maintain good behaviour during studies and while being on Campus.
(iii) Work diligently and maintain dignity and prestige of QAU both ON and OFF the Campus.

(c) That I under take to be a full-time regular student of the QAU and shall not join any other programme of study or accept any
employment for the duration of the programmes registered. (In-service candidates are required to produce NOC/ Study Leave duly
sanctioned by the Employers/Authority).
(d) That I further undertake that I shall not claim hostel accommodation as a matter of right if admitted to the QAU.
(e) That I further undertake that I shall not claim hostel accommodation as and when required by QAU.
(f) That I hereby declare as a binding on me that as long as I am a student I shall abide by all the Statues, Rules and Regulations, inforce at
the time of joining the QAU and framed subsequently. I shall submit myself to the discipline of the QAU authorities as exercised through
its various Committees and Officers.
(g) That I shall not claim/apply for any financial support/fee waivers/exemption once I am admitted to the QAU on Self-Finance basis.
(h) That the requisite documents i.e. Marks Sheets/Certificates etc. as submitted by me are genuine and in case found fake/bogus/tampered,
the QAU shall have a right to refuse/cancel my admission and expel me from the University OR initiate Legal Action against me.
(i) That I will produce/submit originals of requisite documents, i.e. Marks Sheets/Certificates, Domicile etc. at the time of interview for
admission.

Signature of the Candidate

DECLARATION/UNDERTAKING BY FATHER/GUARDIAN (Applicable for M.Phil/MS Programme)

I am responsible for the behaviour and conduct of my son/daughter/ward, during his/her stay at the QAU and shall fully
cooperate with the QAU Authorities in this regard as/when/how required by the QAU. I am enclosing a signed copy of my
CNIC as proof of my undertaking.
_____________________________
Signature of the Parent/Guardian

REQUISITE ATTESTED DOCUMENTS TO BE ATTACHED WITH ADMISSION FORM

No. of
S# Requisite Attested Documents
Copies
1. Detailed Marks Certificate of SSC (Matriculation) OR its equivalent Examination. 01
2. Detailed Marks Certificate of HSSC (Intermediate) OR its equivalent Examination. 01
3. Detailed Marks Certificate of Graduation etc. OR its equivalent Examination. 01
4. Detailed Marks Certificate of Minimum 16 Years of Education, Bachelors (4 years), Masters (2 years) Other 4-5 years Degree 01
5. Domicile Certificate of the candidate 01
6. Computerized National Identity Card of the applicant 01
7. Computerized National Identity Card of the applicant’s Father/Parents/Guardian 01
8. Character Certificate from the institution last attended. 01
Equivalence Certificate and Conversion of the Grades into Marks from Inter Board Committee of
9. Chairman (IBCC) for Matric and Intermediate Levels and from the HEC for Graduation Levels in case of 01
qualifications OR Certificates from Foreign Institutes.
(i). Foreign Citizenship OR Passport for Foreign National and Dual Nationals (having Pakistani and some
10. 01
other nationality) Refugees (status recognized by Govt. of Pakistan) (for Foreigner Reserve Seats)
11. Original HBL/Askari Bank Deposit Slip of Rs. 2000/- (For Admission Form of QAU) 01
12. Any other supporting/relevant document 01

___________________
Signature of Candidate
 QAU COPY BANK COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

ASKARI BANK LTD. ASKARI BANK LTD.

Any Remote Branch of Any Remote Branch of
Askari Bank Ltd Askari Bank Ltd
Account Title QAU Receipt Account No. 150149000008-1 Account Title QAU Receipt Account No. 150149000008-1

Note: No Bank Service Charges Note: No Bank Service Charges

 Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit * Note:
Slip (QAU Copy) along Application Form Application to Quaid-i-Azam University, 1. Please Stamp both copies of deposit Slip.
Islamabad. Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return “QAU Copy” to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name Applicant’s Name

Father’s Name Father’s Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Prospectus Charges RS: 2,000/- Prospectus Charges RS: 2,000/-

Applicant’s Sig. Cashier Officer Applicant’s Sig. Cashier Officer

STUDENT’s COPY ACCOUNT COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

ASKARI BANK LTD. ASKARI BANK LTD.

Any Remote Branch of Any Remote Branch of
Askari Bank Ltd Askari Bank Ltd
Account Title QAU Receipt Account No. 150149000008-1 Account Title QAU Receipt Account No. 150149000008-1

Note: No Bank Service Charges Note: No Bank Service Charges

 Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit * Note:
Slip (QAU Copy) along Application Form Application to Quaid-i-Azam University, 1. Please Stamp both copies of deposit Slip.
Islamabad. Form will not be entertained without Original Deposit Slip (QAU Copy)  2. The Bank Must Return “QAU Copy” to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name Applicant’s Name

Father’s Name Father’s Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Prospectus Charges RS: 2,000/- Prospectus Charges RS: 2,000/-

Applicant’s Sig. Cashier Officer Applicant’s Sig. Cashier Officer

 QAU COPY BANK COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

HABIB BANK LTD. HABIB BANK LTD.

Any Remote Branch of Any Remote Branch of
Habib Bank Ltd Habib Bank Ltd
Account Title QAU Fee Dues Account Account No. 0042-79016066-03 Account Title QAU Fee Dues Account Account No. 0042-79016066-03

Note: Rs. 2015/- per Transaction to be Paid by the Depositor Note: Rs. 2015/- per Transaction to be Paid by the Depositor

 Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip * Note:
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 1. Please Stamp both copies of deposit Slip.
Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return “QAU Copy” to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name Applicant’s Name

Father’s Name Father’s Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Prospectus Charges RS: 2,015/- Prospectus Charges RS: 2,015/-

Applicant’s Sig. Cashier Officer Applicant’s Sig. Cashier Officer

STUDENT’s COPY ACCOUNT COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

HABIB BANK LTD. HABIB BANK LTD.

Any Remote Branch of Any Remote Branch of
Habib Bank Ltd Habib Bank Ltd
Account Title QAU Fee Dues Account Account No. 0042-79016066-03 Account Title QAU Fee Dues Account Account No. 0042-79016066-03

Note: Rs. 2515/- per Transaction to be Paid by the Depositor Note: Rs. 2515/- per Transaction to be Paid by the Depositor

 Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip * Note:
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 1. Please Stamp both copies of deposit Slip.
Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return “QAU Copy” to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name Applicant’s Name

Father’s Name Father’s Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Prospectus Charges RS: 2,015/- Prospectus Charges RS: 2,015/-

Applicant’s Sig. Cashier Officer Applicant’s Sig. Cashier Office

 UNDERTAKING FOR MPhil/MS/PROGRAMME
In response to the advertisement for admission to MPhil/MS Programme (Spring Semester-2018)
I,_________________________________________S/O, D/O___________________________________ intend to get admission in this
University. Unfortunately, the following encircled requisite document (s) is/ are missing while submitting the admission form:

S# Documents
1. Detailed Marks Certificate of SSC (Matriculation) OR its equivalent Examination.
2. Detailed Marks Certificate of HSSC (Intermediate) OR its equivalent Examination.
3. Detailed Marks Certificate of Graduation etc. OR its equivalent Examination.
4. Detailed Marks Certificate of Minimum 16 Years of Education, Bachelors (4 years), Masters (2 years) Other 4-5 years Degree
5. Detailed Marks Certificate of MPhil/MS or other Equivalent Degrees for Minimum 18 years of Education
6. Domicile Certificate of the candidate
7. Computerized National Identity Card of the applicant
8. Computerized National Identity Card of the applicant’s Father/Parents/Guardian
9. Character Certificate from the institution last attended.
10. Equivalence Certificate and Conversion of the Grades into Marks from Inter Board Committee of Chairman (IBCC) for
Matric and Intermediate Levels and from the HEC for Graduation Levels in case of qualifications OR Certificates from
Foreign Institutes.
11. (i). Foreign Citizenship OR Passport for Foreign National and Dual Nationals (having Pakistani and some other
nationality) Refugees (status recognized by Govt. of Pakistan) (for Foreigner Reserve Seats)
12. Original HBL/Askari Bank Deposit Slip of Rs.2000/- (For Admission Form of QAU)
13. Any other supporting/relevant document

1. I, undertake to submit the above mentioned missing documents to the Department concerned (QAU) on or before
Entry Test during the office hours positively.

2. I understand that I will be admitted subject to the submission of the above mentioned encircled document (s).

3. I will be considered for admission to MPhil/MS Programme only if I fulfill the eligibility criteria and merit.

4. I will not file a civil suit in any court of law or challenge the admission already selected students in case of
non-submission of the requisite documents during the stipulated time period.

5. I will not claim admission as a matter of right without submission of the above mentioned encircled document (s).

6. I understand that University has the right to cancel or refuse my admission without assigning any reason.

7. In case of incorrect/misleading information or concealment of facts, the University will have the right to
refuse/cancel my admission and expel me from the University OR at any stage during the course of my studies.

8. That the requisite documents i.e. Marks Sheets/Certificates etc. as submitted by me are genuine and in case found
fake/bogus/tampered, the QAU shall have a right to refuse/cancel my admission and expel me from the University
OR initiate Legal Action against me.

9. That I will produce/submit originals of requisite documents i.e. Marks Sheets/Certificates etc. at the time of
interview for admission.

Dated: _________/201 Signature_____________________________

Name___________________________________________________
Father’s Name____________________________________________
Tracking ID/Registration # of QAU: ______________